Legal Aspects of Healthcare delivery

/in /by

Legal & Regulatory Aspects of Health Care Delivery

In some cases, the legal and regulatory environments of health care can seem like labyrinths of red tape that hinder more than help; however, with sufficient knowledge of health care regulation and legislation, you can acquire the tools needed to effectively navigate this labyrinth. Gaining an understanding of the legal and regulatory systems allows you to stay current with changes in the health care field and more easily and successfully advocate for new measures designed to improve the health of the public. Such understanding also assists you in understanding how to proceed when seeking changes to policy to address a specific population.

This week, you will examine regulatory principles and professional nursing standards. You will also analyze the effects of legal and regulatory processes on health care policy advocacy and implementation.

Learning Objectives

Students will:

Apply laws, regulations, and professional nursing standards to an ethical dilemma

Analyze the effects of legal and regulatory processes on health care policy advocacy

Photo Credit: [Tetra Images]/[None]/Getty Images

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Milstead,J. A. (2019). Health policy and politics: A nurse’s guide (6th ed.).Burlington, MA: Jones and Bartlett Publishers.

Chapter 4, “Government Response: Regulation” (pp. 56-81)This chapter explains the major concepts of the regulation of health professionals, with emphasis on advanced practice nurses (APN) and the process of licensure and credentialing.

ANA’s Foundation of Nursing Package – (Access this resource from the Walden Library databases through your NURS 6050 Course Readings List)

Guide to the Code of Ethics: Interpretation and Application

This guide details the history, purpose and theory, application, and case studies of this must-have Code of Ethics.

Nursing Social Policy Statement

The Nursing Social Policy Statement provides an understanding of the social framework and obligations of the nursing profession.

Nursing: Scope & Standards of Practice

This book contains several national standards of practice that can be used to inform the decision-making process, development, implementation, and evaluation of several functions and aspects of advanced practice nursing.

Gallagher, T. H. (2009). A 62-year-old woman with skin cancer who experienced wrong-site surgery: Review of medical error. JAMA: Journal of the American Medical Association, 302(6), 669–677.

Retrieved from the Walden Library databases.

The article showcases the different sides of medical error, from a 62-year-old patient who suffered and the components of the medical error’s impact and aftermath.

Reinhardt, U. E. (2010, Jan 30). Repercussions of simplicity. New York Times, p. A14.

Retrieved from the Walden Library databases.

This article determines that the government should take low-income families into account when determining mandatory health insurance because many Americans choose to go without insurance despite preexisting conditions presumably no longer being an issue.

Board on Health Care Services. (2007). Preventing medication errors: Quality Chasm Series. Washington, DC: The National Academies Press. Retrieved from http://www.nap.edu/openbook.php?record_id=11623&page=43

Part 1, “Understanding the Causes and Costs of Medication Errors” (pp. 43–49)

This article discusses the multilayered nature of medication error as a system of failures due to individual behaviors and conditions.

Required Media

Laureate Education (Producer). (2012f). Legal and ethical aspects of healthcare delivery. Baltimore, MD: Author.

Legal and Ethical Conduct

As emphasized in this week’s media presentation, all nurses need to be familiar with the laws and regulations that govern their practice: their state’s Nurse Practice Act, ANA’s Nursing: Scope and Standards of Practice, specialty group standards of practice, etc. In addition, basic ethical principles guide nurses’ decision-making process every day. ANA’s Code of Ethics and ANA’s Social Policy Statement are two important documents that outline nurses’ ethical responsibilities to their patients, themselves, and their profession. This said, there is a dilemma: The laws are not always compatible with the ethical positions nurses sometimes take. This week’s Discussion focuses on such a dilemma.

To prepare:

Review this week’s Learning Resources, focusing on the information in the media presentation about the relationship between the law and ethics.

Consider the ethical responsibility of nurses in ensuring patient autonomy, beneficence, non-malfeasance, and justice.

Read the following scenario:

Lena is a community health care nurse who works exclusively with HIV-positive and AIDS patients. As a part of her job, she evaluates new cases and reviews confidential information about these patients. In the course of one of these reviews, Lena learns that her sister’s boyfriend has tested HIV positive. Lena would like to protect her sister from harm and begins to consider how her sister can find out about her boyfriend’s health status.

Consult at least two resources to help you establish Lena’s legal and ethical position. These resources might include your state’s Nurse Practice Act, the ANA’s Code of Ethics, ANA’s Nursing: Scope and Standards of Practice, and internal or external standards of care.

Consider what action you would take if you were Lena and why.

Determine whether the law and the ANA’s standards support or conflict with that action.

WRITE a description of the actions you would take in this situation, and why. Justify these actions by referencing appropriate laws, ethical standards, and professional guidelines.

Critical Response Essay

/in /by

You should write a one page essay for each of the following 2 questions. Your essays should be double-spaced, 1-inch margins, 12-point font. If possible, print on both sides of one sheet of paper. If not, staple two pages together. Don’t use a cover page or any sort of binder or folder. The top of each page should include your name, the date, and your section number. You don’t need a title and don’t rewrite the question. Give sources you found in papers for each question

1. Last week, a 19-year-old former student entered a high school in Florida and killed 17 people using an AR-15 assault rifle. Incidents like this one have been happening in the U.S. with alarming frequency since the 1999 murders at Columbine High School.

If you were a member of Congress and a Utilitarian, what sort of legislation would you propose to prevent these tragedies? How would you explain your reasoning to your fellow members of Congress?

2. For the last several months, a number of famous and powerful men (and at least one woman) have been accused of sexual harassment and sexual assault. At the same time, many other famous people have been accused of knowing that the harassment and assaults were taking place but failing to speak out to defend the victims.

If you were a Deontologist, and you knew that these incidents were taking place, would you feel obligated to speak out? Explain why or why not using the Categorical Imperative.

This is for my Managerial Accounting 102 class Project.

/in /by

Managerial Accounting Project

For this project, you will create the accounting portions of a business plan using an assortment of tools presented in the course. You will select a business that is of interest to you or that you would like to start. You may use an existing business as long as you concisely discuss its founding process. Your paper should be in Chicago format (suggested length: 10-11 pages) and include at least two quality references. Note: Wikipedia, blogs, and social media do not qualify as academic resources. One of the references can be our textbook.( Introduction to managerial accounting 7th edition, Peter C. Brewer,Ray H. Garrison, Eric W. Noreen)

To start, write 1-2 pages that describe:

• Why you selected this business
• Some basic information about the business’s market, location, and competition
• Why you think this business would be profitable
• How your financial decisions will affect the business

After this introductory portion, you will create the financial plan. Requirements for your final project are as follows:

1. Startup Cost Analysis

In this section, you will include a detailed list of how much it will cost to start the business. This should include most, if not all, of the following: cost of property, buildings, machinery, equipment, planning, legal fees, consulting fees, and one year of operational costs.

2. Cost/Benefit Analysis

In this section, you will perform an analysis of the advantages and disadvantages of the business. Determine if your business is a sound investment decision (justification/feasibility) by conducting a SWOT analysis, and compare the total expected cost (disadvantages) of each against the total expected benefits (advantages) to see whether the benefits outweigh the costs and by how much.

3. Breakeven Analysis

In this section, you will perform a basic breakeven analysis. Estimate basic variable and fixed costs that will accrue in operations, and then compare this to how much revenue (units that need to be sold) is needed to cover these costs. This should include your basic operational costs (e.g. salaries, rent, utilities, product costs, etc.). Be sure to include calculations and a graph showing your breakeven analysis.

4. Cost-Volume-Profit (CVP) Analysis

In this section, you will perform a CVP analysis and investigate the outside factors that may influence your breakeven point. Identify 2-4 qualitative factors that can vary between your base case (the breakeven analysis) and changes to this base case. You also need to weigh the pros/cons of each of the outside factors. These outside factors can include changes of location, changes in competition, or changes in outside market factors (e.g. stock market, oil prices, commodities, or anything that can affect revenue for your business). Be sure to include calculations and graphs for CVP analysis.

5. Pro-Forma Financial Statements

In this section, you will create pro-forma financial statements in which you will estimate the financial operations of your business. This will include a pro-forma income statement, pro-forma statement of cash flows, and a pro-forma balance sheet. For each of these, project out for three years (all three years can be listed on one statement). Although these values are estimations, they can help predict how successful the business will be.

6. Discussion

Based on the results of your analyses, discuss whether the business will be as profitable as you first expected. Briefly explain why (or why not) and what can be done to improve the possible outcome.

Please upload your paper using a pdf format.

Cultural Competence

/in /by

Cultural Competence

For this assignment, you will refer to the section “Course Case Study.” Reread the case study, looking specifically at issues related to cultural competence. Examine the ACA’s and APA’s ethical guidelines related to the issue of cultural competence and respond to the following:

  • Describe the ethical issues related to cultural competence.
  • Examine the influence of your own personal values as related to the diversity issues presented in this case. Reflect on how you felt as you read the case study, how your values came into play, and how you would handle your values in a situation such as this.
  • Make recommendations based on your readings and the APA or ACA ethics codes.
  • Be sure to apply specific ethical principles
  •  Your response should be at least 2 pages long.

Vocabulary Worksheet 5

/in /by

I. Look up the words in the dictionary to find usage and meaning.

II. Mark usage and then create your own original sentences not from the dictionary and be prepared to discuss in class.

III. You will turn in your forms when the instructor says.

IV. You will be quizzed on these vocabulary words.

forms:

word: abridged synonyms:

Definition:

Sentence from book:

Congress shall make no law abridging the freedom of speech or the press.

Write a new, creative, original sentence using the new word below:

forms:

word: exponentially synonyms: s

Definition:

The development of writing advanced civilization as a whole exponentially.

Write a new, creative, original sentence using the new word below:

forms:

word:

autonomy

 synonyms:

Definition: make into a powder by breaking up or cause to become dust

Sentence from book:

Free speech helps people develop personal autonomy.

Write a new, creative, original sentence using the new word below:

forms:

word:

virtuous

 synonyms:

Definition:

Sentence from book:

Young people should only be exposed to models of virtuous thought.

Write a new, creative, original sentence using the new word below:

forms:

word:

explicit

 synonyms:

Definition:

Sentence from book:

There was material that was much more explicit than Ovid’s The Art of Love.

Write a new, creative, original sentence using the new word below:

Rubric

Vocab WS 5 (1)

Vocab WS 5 (1)
Criteria Ratings Pts

This criterion is linked to a Learning OutcomeDescription of criterion

5.0 pts

Total Points: 5.0

PreviousNext

Case Study 1: Applying Theory to Practice

/in /by

Case Study 1: Applying Theory to Practice

Due Week 4 and worth 130 points

Social scientists have proposed a number of theories to explain juvenile delinquency. Each has its own strengths and weaknesses. For this assignment, go to the following Website, located at http://listverse.com/2011/05/14/top-10-young-killers/ and select one of the juvenile case studies.

Eric Smith

January 22, 1980

You may think I’m a threat to the well-being of society. And I can understand why you would feel that way. The fact is that I’m not. I’d be an asset to society.”

At 13, Eric Smith was bullied because of his thick glasses, freckles, long red hair and one other quality: He had protruding, elongated ears. These were believed to be a side effect of medicine his mother had taken for her epilepsy when she was pregnant. Police charged Smith with the murder of a four-year-old boy named Derrick Robie. The younger child had been strangled, had large rocks dropped on his head, and had been sodomized with a small stick. When asked why he did it, Smith cannot give a definite answer. A psychiatrist diagnosed Smith with intermittent explosive disorder, a condition in which a person cannot control inner rage. Smith was convicted and went to prison. As of today, he’s been in prison for six years and has been denied parole five times.

Get a closer look at the disturbed mind of a killer with Serial Killers: The Method and Madness of Monsters at Amazon.com!

After reading the case, select one (1) of the psychological theories discussed in Chapter 4 of the text.

Write a two to three (2-3) page paper in which you:

  1. Summarize three (3) key aspects of the juvenile case study that you selected.
  2. Highlight at least three (3) factors that you believe are important for one to understand the origins of the juvenile’s delinquent behavior.
  3. Apply at least two (2) concepts from the theory that you chose from the text that would help explain the juvenile’s behavior.
  4. Identify one (1) appropriate strategy geared toward preventing delinquency that is consistent with the theory you chose.
  5. Use at least three (3) quality references. Note: Wikipedia and other Websites do not qualify as academic resources.

Your assignment must follow these formatting requirements:

  • This course requires use of Strayer Writing Standards (SWS). The format is different than other Strayer University courses. Please take a moment to review the SWS documentation for details.
  • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

  • Differentiate between various theoretical explanations for delinquent behavior.
  • Illustrate how social factors such as gender, racial and ethnic background, and social class relate to delinquency.
  • Use technology and information resources to research issues in juvenile delinquency and justice.
  • Write clearly and concisely about juvenile delinquency and justice using proper writing mechanics.

Grading for this assignment will be based on answer quality, logic / organization of the paper, and language and writing skills, using the following rubric found here.

SOC308 WEEK 3 DISC 1

/in /by

 

English as the Official U.S. Language

Please visit
Poll: Should English Be the United States’ Official Language? as you prepare for this discussion and participate in the poll.

After reading the argument for making English the official language of the United States and participating in the poll, assess the merit of this argument in context with the results of the poll. Why is this argument valid / invalid and how would establishing an official language affect the status quo?

Your initial post for each discussion should be a minimum of 250 words. Use scholarly sources to support your responses. Include citations and references in APA style

Combating Juvenile Delinquency, assignment help

/in /by

Use the Internet and Strayer databases to research your community’s current efforts to deter or prevent juvenile delinquency through incarceration programs or other sanctions.

Write a two to three (2-3) page paper in which you:

  1. Identify at least two (2) juvenile delinquency reduction efforts / programs currently in operation in your community.
  2. Determine the main sociological theories that underlie these interventions that shape your community’s public policy for delinquency prevention.
  3. Propose one to two (1–2) ideas that you believe would improve your community’s juvenile delinquency prevention efforts. Justify the response with examples that illustrate your ideas being used successfully in other communities.
  4. Use at least three (3) quality references. Note: Wikipedia and other Websites do not qualify as academic resources.

Your assignment must follow these formatting requirements:

  • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
  • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

Research Questions and Triangulation Discussion Board

/in /by

How can a research question in business research be better formulated?

  • Provide an example of a research question.
  • Comment on the popularity and relevancy of the research questions of your classmates.

Background Information:

Creswell, J. W. (1999). Mixed-method research-chapter 18:Introduction and application. (pp. 455-472) Academic Press. doi:10.1016/B978-012174698-8/50045-X.

Principles of Sociological Inquiry: Qualitative and Quantitative Methods. (v.10). Chapter 5: 5.2 Qualitative or Quantitative? Some Specific Considerations. Available at https://saylordotorg.github.io/text_principles-of-…

Bhattacherjee, A. (2012). Introduction to Research, Social Science Research: Principles, Methods, and Practices (pp. 1-7). USF Tampa Bay Open Access Textbooks Collection. Book 3. http://scholarcommons.usf.edu/oa_textbooks/3.

Susan, A. M., Gibson, C. B., & Mohrman,Allan M., Jr. (2001). Doing research that is useful to practice: A model and empirical exploration. Academy of Management Journal, 44(2), 357-375. Retrieved from ProQuest.

Optional Reading

Gupta, R. K., & Awasthy, R. (2015). Qualitative research in management: Methods and experiences (1st ed.). IN: Sage Publications India.

Harwell, M. (2011). Research design in qualitative/quantitative/mixed methods. In C. Conrad, & R. Serlin (Eds.), The SAGE handbook for research in education: Pursuing ideas as the keystone of exemplary inquiry. (2nd ed., pp. 147-165). Thousand Oaks, CA: SAGE Publications, Inc.

Slides and Speaker Notes

/in /by

For this assignment, you will need to become familiar with specialized business intelligence (BI) software, then download the software. Complete the following steps to begin:

  • Step 1: Watch an instructional video on the BI software.
  • Step 2: Review various BI Software options including Tableau; Excel or other Business Intelligence. Search the CTU Library and the internet to learn about optional software.
  • Step 3: If you choose Tableau, download the Tableau BI software. After you select the link, look for the orange icon in the middle portion of your screen to begin the download or use any Business Intelligence software to create at least 2 graphs illustrating at least 2 comparisons between the US and zip code data.

Consider the following scenario, continued from the Unit 1 Individual Project:

Big D Incorporated needs to prepare an assessment regarding the feasibility of making a recommendation for expansion into another market. As the Business Analyst, your assignment is to prepare a short presentation for the Board of Directors that apply concepts learned in Unit 1 and concepts from Unit 2 to make the necessary recommendations and justifications for those recommendations. You will need to compare and contrast the varying markets in order to make the best recommendation possible. Complete the following:

  • Click here to download the reports for the United States. The Web site provides free demographical services where one can choose from a variety of criteria and generate reports based on the U.S. Census data. This particular file contains 4 reports: General Summary, Census Trend 1980 to 2000 Summary, Occupation and Employment Summary, and Income Summary based on the entire United States.
  • Click here to download the reports for zip code 60614. This particular file contains 4 reports: General Summary, Census Trend 1980 to 2000 Summary, Occupation and Employment Summary, and Income Summary based on the U.S. zip code 60614.
  • Using all 4 demographic reports (General Summary, Census Trend 1980 to 2000 Summary, Occupation and Employment Summary, and Income Summary) for the United States and zip code 60614, prepare a 1-page memo explaining how your territory differs from the national profile. Feel free to note anything that you found surprising in this data.
  • Use the business intelligence software you choose to depict information from these reports.
  • Prepare a presentation of 5–6 slides of your major findings. You may group a category of data from the Total United States and zip code 60614, and create a graph to show how they differ. The presentation should have at least two graphs and a headline that summarizes a key takeaway from the graph. The last page should contain at least 3 questions that you would want answered based on what you’ve seen in this comparison.

Your presentation should include 5–6 slides in PowerPoint, plus title and reference slides with speaker notes (200–250 words per slide).

For assistance with the usage of Tableau for analysis and reporting, review and use the following instructions. This should be helpful if you are having problems with the software usage or with problems with the data. But, you do not need to use Tableau. For BI software usage such as Excel, resort to using the Help functions and other resources on the internet and in videos to learn how to use Excel to create graphical presentations including table usage.

Instructions to Create Bar Graph in Tableau (optional) or in another BI Software.

  1. Open the assignment CTU instructions.
  2. Download Business Intelligence Software.
  3. Create your Tableau Public Account.
  4. Click the download link for the zip code (60614) file (file will open in Excel).
  5. Click the download link for the US file (file will open in Excel).
  6. The following are some options:
    1. Create separate demographical worksheets. For example: Education Attainment File – Worksheet (include both Zip Code and U.S. data); Household Income (include Zip Code and U.S. data)
      • See a sample of the file available with column headings and extraneous blanks.
Household Income Chicago U.S.
1980 1990 1980 to 1990 2000 1990 to 2000 1980
Median Household Income 18,438 41,227 1.236 69,311 0.681 16,902
Average household Income 24,245 67,607 1.788 114,615 0.695 20,382
Per Capita Income 13,564 38,518 1.84 63,791 0.656 7,321
      • See a sample of the file available with column headings and extraneous blanks.
2000 Educational Attainment U.S. Chicago
College: Associates Degree 6.3% 1.9%
College: Bachelor’s Degree 15.5% 44.2%
College: Graduate Degree 8.9% 34.0%
College: Some College, no Degree 21.1% 8.7%
School: 9th to 11th grade, no diploma 12.1% 3.2%
School: Grade K-9 6.1% 2.0%
School: High School Graduate 28.6% 5.6%
    1. Create a file with data organized without extraneous rows and columns but including headings.
    2. The idea is to clean up the file before usage. Separating files and worksheets may be the best way to make this happen
    3. Note in the real situation, when using BI software, you will want to ensure your data are clean and you have similar data in your files.
  1. Save the file(s) on your computer.
  2. Open Tableau. Then do a File > Open > Open your saved file.
  3. At the bottom of the screen on the left, click on the little box next to Sheet 1 (looks like a bar graph with a plus in the top left corner).
  4. Under Measures (on left), you should see Chicago and U.S. Click on U.S. and pull it into rows at the top of the screen. Then click on Chicago and pull it over into rows.
  5. Under Dimensions on the left, you should see Household Income. Click on Household Income and pull it into column.
  6. Now in the second column from the left, you should see measures.
  7. In the top right corner, you should see a “show me” box illustrating ways you can view the data based on the values you have chosen. To do side-by-side comparisons, put your cursor over the rightmost picture on the third line with the side-by-side blue and orange bars. Click on it. Your graph should appear on the page. You can play around with how you want to portray your data.
  8. To save in Tableau Public, click File > Save to Tableau Public as… > give the file a descriptive name. You will be asked to log into Tableau Public using your e-mail and password.
  9. When your graph is saved in public, at the bottom right, there is a download button. Decide how you will save the file. (You can create an image and name the .png file. It will be saved in tableau public.)
  10. After the file is saved, open the .png file, and edit or copy the graph.
  11. Open your PowerPoint file, then paste (special) it on the slide. You can adjust the size.
  12. Repeat the same in Tableau opening of any other prepped and cleaned file.

Note: Measure values are your number fields; measure names are the descriptors.

Please submit your assignment.

For more information on creating PowerPoint Presentations, please visit the Microsoft Office Applications Lab.

Additional Resources

American Marketing Association. (n.d.). Summary reports. Retrieved from http:/www.marketingpower.com/content753.php

Igines. (2012, December 9). How to make a line graph in Excel (Scientific data) [Video file]. Retrieved from

Microsoft. (2018). Create a chart from start to finish. Retrieved from https://support.office.com/en-us/article/Create-a-…

References

Pak, A. (2013, August 12). Tableau Public – Overview and Applications [Video file]. Retrieved from

Tableau. (2018). Tableau public. Retrieved from http://www.tableausoftware.com/public/

4 days ago